COOKEVILLE REGIONAL MEDICAL GROUP, INC
NPI 1649202102
Clinic/Center - Multi-Specialty in Cookeville, TN

Active since July 07, 2006CLIA 44D0316156 · Accreditation
140 W 7TH ST, COOKEVILLE, TN 38501(931) 783-5582 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Nov 3, 2022, Aug 26, 2019 and 1 more (4 updates tracked since 2017).

About Cookeville Regional Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOKEVILLE REGIONAL MEDICAL GROUP, INC (NPI 1649202102) is a healthcare organization registered as a multi-specialty in Cookeville, Tennessee and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Marilyn C Key, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649202102
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOOKEVILLE REGIONAL MEDICAL GROUP, INC
Location Address140 W 7TH STCookeville, TN 38501-1726
Mailing AddressPo Box 15060Belfast, ME 04915-4045 · (931) 783-5857 · Fax (931) 526-6760
Organization SubpartNo
Authorized OfficialMarilyn C KeyCeo · (931) 783-2481
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 21, 20234 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1649202102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
140 W 7TH ST, Cookeville, TN 38501

Other Identifiers 1

Other3727506Medicare Group Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cookeville Regional Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

124

Medicare enrollment records show 124 clinicians reassign Medicare billing to Cookeville Regional Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 75 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner46
Urology14
Pulmonary Disease13
Nephrology9
Internal Medicine8
Gastroenterology7
Cardiac Surgery6
Critical Care (Intensivists)3
12 other specialties18

Nearest to this location (20)

See all 124
Nurse Practitioner
NPI 1760473748
215 W 6TH ST
Cookeville, TN 38501
(931) 783-2800
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1932536125
215 W 6TH ST
Cookeville, TN 38501
(931) 783-2800
✔ PECOS0.1 mi
Neurology
NPI 1669406500
145 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-4901
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1902839806
145 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-2143
✔ PECOS✔ Accepts Medicare0.2 mi
Sleep Medicine
NPI 1801899224
145 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-2143
✔ PECOS0.2 mi
General Surgery
NPI 1235393612
145 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-5515
✔ PECOS✔ Accepts Medicare0.2 mi
Nephrology
NPI 1912976762
145 W 4TH ST STE 102
Cookeville, TN 38501
(931) 783-2902
✔ PECOS✔ Accepts Medicare0.2 mi
Critical Care (Intensivists)
NPI 1588225205
145 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-2143
✔ PECOS0.2 mi
Gastroenterology
NPI 1952303166
438 N WHITNEY AVE
Cookeville, TN 38501
(931) 783-2616
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiac Electrophysiology
NPI 1144740184
222 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-4269
✔ PECOS✔ Accepts Medicare0.3 mi
Thoracic Surgery
NPI 1568457828
222 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-4269
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiac Surgery
NPI 1801890694
222 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-4269
✔ PECOS✔ Accepts Medicare0.3 mi
Vascular Surgery
NPI 1003104639
222 W 4TH ST STE 201
Cookeville, TN 38501
(931) 783-4269
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1386668838
340 N CEDAR AVE
Cookeville, TN 38501
(931) 783-5353
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1831689546
320 N OAK AVE
Cookeville, TN 38501
(931) 781-4103
✔ PECOS✔ Accepts Medicare0.3 mi
Endocrinology
NPI 1578067476
127 N OAK AVE STE B
Cookeville, TN 38501
(931) 783-2648
✔ PECOS✔ Accepts Medicare0.4 mi
Cardiovascular Disease (Cardiology)
NPI 1780791764
127 N OAK AVE # A
Cookeville, TN 38501
(931) 783-2361
✔ PECOS✔ Accepts Medicare0.4 mi
Interventional Cardiology
NPI 1659858728
127 N OAK AVE # A
Cookeville, TN 38501
(931) 783-2361
✔ PECOS✔ Accepts Medicare0.4 mi
General Practice
NPI 1184649246
128 N WHITNEY AVE
Cookeville, TN 38501
(931) 783-4600
✔ PECOS0.4 mi
Family Practice
NPI 1356632152
128 N WHITNEY AVE
Cookeville, TN 38501
(931) 783-5848
✔ PECOS✔ Accepts Medicare0.4 mi
See all 124 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 44D0316156

Cookeville Regional Medical Group Inc Dba Cookeville Regional Medical Group · Cookeville, TN
Active · expires Dec 22, 2027
CLIA Number44D0316156
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Ricky A. Smith
Laboratory Phone(931) 783-5582
Laboratory LocationCookeville Regional Medical Group Inc Dba Cookeville Regional Medical Group320 N Oak Ave, Cookeville, TN 38501
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cookeville Regional Medical Group, Inc's NPI number?

The NPI number for Cookeville Regional Medical Group, Inc is 1649202102. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Cookeville Regional Medical Group, Inc located?

Cookeville Regional Medical Group, Inc is located at 140 W 7th St, Cookeville, TN 38501. The listed phone number is (931) 783-5582.

What is Cookeville Regional Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Cookeville Regional Medical Group, Inc enrolled in Medicare?

Yes. Cookeville Regional Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cookeville Regional Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 124 clinicians in 20 Medicare specialties reassign their Medicare billing to Cookeville Regional Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (46), Urology (14) and Pulmonary Disease (13). Of these, 75 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cookeville Regional Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D0316156) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cookeville Regional Medical Group, Inc accept?

Health plans from Cigna Healthcare list Cookeville Regional Medical Group, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cookeville Regional Medical Group, Inc was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.